KUMIHOSPITAL
MEDICAL RECORDS DEPARTMENT
ANNUAL REPORT FOR THE PERIOD JANUARY – DECEMBER 2008
(Compiled by Leonard Omoding & Francis Orode)
The Department ended the year with it’s normal duties of availing the necessary forms used in the Hospital. Submission of monthly and Weekly Surveillance reports the District Health Office Kumi and HealthSub-District in AtuturHospital were also delivered on time.
The Department managed to score 100% this year on timely reporting whereas last year 2007 we scored 96%. This shows that there was improvement on data collection and analysis.
OUT-PATIENT DEPARTMENT UTILIZATION
The table and graph below shows the OPD attendance Jan – Dec 2008 and the OPD trends from the year 2004 - 2008
MONTHS / JAN / FEB / MAR / APR / MAY / JUN / JUL / AUG / SEP / OCT / NOV / DECO-4YRS / 306 / 284 / 211 / 208 / 494 / 376 / 396 / 366 / 360 / 540 / 544 / 425
5YRS ABOVE / 266 / 262 / 312 / 241 / 458 / 420 / 423 / 372 / 284 / 612 / 571 / 594
OPD / 1ST / 2ND / 3RD / 4TH / TOTAL
0-4 YEARS / 1,639 / 2,197 / 2,216 / 3,204 / 9,256
5 YEARS ABOVE / 4,290 / 4,578 / 5,211 / 8,480 / 22,559
TOTAL / 5,929 / 6,775 / 7,427 / 11,684 / 31,815
The graph below shows the trends of OPD Attendance from the year 2004 to 2008
Towards the end of the year 2006 and 2007 that when we had floods that showed and increase of patients attendance due to malaria prevalence.
The decline on the numbers on Malaria episodes may be due to the introduction of Coartem and also the month of Jan – April are months when we experience dry weather which reduces the malaria epidemic..
WARD ADMISSIONS
The graph below shows In- patients ward admissions for each individual ward from January to December 2008. The Paediatric ward admitted the highest number of patients followed by Surgical and Maternity respectively.
The Table and graph below shows the trends of patients admissions from the year 2004 – 2008 and Patient admitted to our Hospital from Jan – Dec 2008
YEAR / 2004 / 2005 / 2006 / 2007 / 2008Trends of Ward Admissions / 13,375 / 12,699 / 11,187 / 12,500 / 11,033
LABORATORY SERVICES
The Department kept on functioning well, and also had a number of students fro various Institutions who had come for the Practical Attachment. Also thanks go the Administration for the support rendered to the Department on facilitation for collection of Blood and purchase of Laboratory reagents.
The Table here below shows quarterly tests for Malaria Parasites January to December 2008
TESTS FOR MPS. / 1STQUARTER / 2ND
QUARTER / 3RD
QUARTER / 4TH
QUARTER
No. Tested for mps. / 4,095 / 7,253 / 4,397 / 4,806
Positive for Malaria Parasites / 1,612 / 3,144 / 2,254 / 2,213
You will find that the months of March, April and May where the number of positive cases for Malaria parasites are high compared to 1st quarter.
BLOOD TRANSFUSIONS
The number of units of blood collected from Regional Blood Bank was dispensed and transfused to our patients as shown in the graph below: -
TB SCREENING
The Table below shows the Laboratory sputum investigations for Positive AAFB
MONTH / JAN / FEB / MAR / APR / M,AY / JUN / JUL / AUG / SEP / OCT / NOV / DECSputum examined / 39 / 29 / 125 / 41 / 102 / 30 / 44 / 38 / 42 / 69 / 70 / 48
Positive for AAFB / 08 / 08 / 01 / 07 / 06 / 07 / 07 / 05 / 05 / 02 / 03 / 02
HCT SERVICES
The Table and graph here below shows the total number of clients counseled and positive for HIV and those put on CTX prophylaxis
QUARTER / 1STQUARTER / 2ND
QUARTER / 3RD
QUARTER / 4TH
QUARTER / TOTAL
NO. CLIENTS COUNSELED / 1,547 / 3,061 / 4,140 / 572 / 9,320
POSITIVE FOR HIV / 89 / 93 / I74 / 31 / 387
HIV POSITIVE CLIENTS GIVEN CTX PROPHYLA- / 77 / 141 / 190 / 32 / 440
HIV POSITIVE WITH CONFIRMED TB / 25 / 08 / 08 / O8 / 49
MATERNITY SERVICES
Maternity continued to receive referrals from our neighbouring Health Facilities especially mothers with obstructed labour as seen in the graph below those done caessrian sections and clients who self report for delivery in the Unit.
Here below is a graph showing the Maternity deliveries, caesarian sections from January to December 2008 and trend from the year 2004 – 2008.
The graph below shows the number of deliveries and caesarian sections done from January to December 2008.
ANTENATAL/PMTCT CLINC
The Unit handles mothers of Postnatal and PMTCT services both in the Unit and in the Outreaches.
Here below are the summaries from January to December 2008
MONTHS / J / F / M / A / M / J / J / A / S / O / N / D / TOTALPregnant mothers tested for HIV / 110 / 61 / 64 / 58 / 102 / 60 / 207 / 143 / 45 / 50 / 70 / 42 / 1012
Pregnant mothers positive for HIV / 03 / 04 / 06 / 03 / 02 / 06 / 03 / 02 / 01 / 04 / 01 / 03 / 38
Pregnant mothers gives ARVs for proplax. / 03 / 04 / 06 / 02 / 07 / 06 / 04 / 01 / 00 / 04 / 03 / 03 / 43
X-RAY AND ULTRA SOUND SCAN SERVICES
MONTHS / J / F / M / A / M / J / J / A / S / O / N / D / TOTALX-RAY’S DONE / 240 / 237 / 406 / 216 / 356 / 233 / 223 / 213 / 274 / 320 / 310 / 210 / 3238
U/S SCAN / 217 / 208 / 218 / 198 / 271 / 209 / 245 / 239 / 285 / 300 / 300 / 278 / 2968
On the above figures, this will help the Management to plan on how many films to be bought every quarter on average number of services done
THEATRE OPERATIONS
The Theatre continued with it’s normal daily activities and receiving AMREF Flying Surgeons and others from other visiting Surgeons.
The graph here below shows the Major and Minor operations carried during the year 2008.
In the graph above, the months of February. May, October and November those were days we had visiting Surgeons and Surgical Camp in our Hospital
On the above summaries, we hereby thank the Management for giving us a helping hand financially and materially (i.e. availing enough stationery for our daily use and facilitation on delivering Monthly and Weekly reports to the District Health Office and DistrictHealthSub-District.
Also thanks go to those departments who managed to give us positive response whenever we call on them for Data. Let that same spirit continue better this year
Thank you.
MEDICAL RECORDS STAFF